Loudoun Medical Group, PC

NPI #1982148441 in Leesburg, Virginia

Provider Information

NPI Number: 1982148441
Entity Type: Organization
Organization Name: Loudoun Medical Group, PC
Subpart: Yes (part of a larger organization)
Parent Organization: LOUDOUN MEDICAL GROUP, PC
Primary Specialty: Specialist
Enumeration Date: Dec 16, 2016
Last Updated: Apr 24, 2023

Practice Location

Address: 19450 DEERFIELD AVENUE, SUITE 200
City: Leesburg
State: Virginia
ZIP Code: 20176-6821
Phone: (703) 777-1553

Authorized Official

Name: MARY BETH TAMASY
Title: CEO
Phone: (703) 737-6010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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